<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content animated fadeInRight">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
							<input id="orgId" name="orgId" type="hidden">
						    <input id="orgName" name="orgName" type="hidden">
						    <input id="subjectName" name="subjectName" type="hidden">
							<div class="form-group">
								<label class="col-sm-3 control-label">医师姓名：</label>
								<div class="col-sm-8">
									<input id="doctorName" name="doctorName" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">性别:</label>
								<div class="col-sm-8">
									<label class="radio-inline"> <input type="radio"
										name="sex" value="男" /> 男
									</label> <label class="radio-inline"> <input type="radio"
										name="sex" value="女" /> 女
									</label>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">所属组织机构：</label>
								<div class="col-sm-8">
									<div id="menuTree"></div>
								</div>
							</div> 
							<div class="form-group">
								<label class="col-sm-3 control-label">所属医学科目：</label>
								<div class="col-sm-8">
									<div id="subjectTree"></div>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">职称代码：</label>
								<div class="col-sm-8">
									<input id="titleCode" name="titleCode" class="form-control"
										type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">职称名称：</label>
								<div class="col-sm-8">
									<input id="titleName" name="titleName" class="form-control"
										type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">标签(藏区双语医生)：</label>
								<div class="col-sm-8">
									<input id="label" name="label" class="form-control"
										type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">身份证号：</label>
								<div class="col-sm-8">
									<input id="personId" name="personId" class="form-control"
										type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">注册证号：</label>
								<div class="col-sm-8">
									<input id="empno" name="empno" class="form-control"
										type="text">
								</div>
							</div>
							
							<div class="form-group">
								<label class="col-sm-3 control-label">联系电话：</label>
								<div class="col-sm-8">
									<input id="phone" name="phone" class="form-control"
										type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">参加工作时间：</label>
								<div class="col-sm-8">
								    <input type="text" id="entryJobDate" name="entryJobDate" class="form-control">
								</div>
							</div>
							
							<div class="form-group">
								<label class="col-sm-3 control-label">生日：</label>
								<div class="col-sm-8">
								    <input type="text" id="birth" name="birth" class="form-control">
								</div>
							</div>
							
							<div class="form-group">
								<label class="col-sm-3 control-label">地址：</label>
								<div class="col-sm-8">
								    <input type="text" id="address" name="address" class="form-control">
								</div>
							</div>
							
							<div class="form-group">
								<label class="col-sm-3 control-label">擅长：</label>
								<div class="col-sm-8">
								    <input type="text" id="expertise" name="expertise" class="form-control">
								</div>
							</div>
							
							<div class="form-group">
								<label class="col-sm-3 control-label">问诊费：</label>
								<div class="col-sm-8">
								    <input type="number" id="inquiryFee" name="inquiryFee" class="form-control">
								</div>
							</div>
							
						    <div class="form-group">
								<input id="content" name="introduction" type="hidden"> <label
									class="col-sm-1 control-label">简介：</label>
								<div class="col-sm-11">
									<div class="ibox-content no-padding">
										<div id="content_sn" class="summernote"></div>
									</div>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">状态:</label>
								<div class="col-sm-8">
									<label class="radio-inline"> <input type="radio"
										name="flag" value="1" /> 正常
									</label> <label class="radio-inline"> <input type="radio"
										name="flag" value="0" /> 禁用
									</label>
								</div>
							</div>
							<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<input id="submit" class="btn btn-primary" name="submit" type="submit" value="提交" >
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
		</div>

	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/org/doctor/add.js"></script>
    <script src="/js/plugins/laydate/laydate.js"></script> 
<script>
laydate.render({
  elem: '#entryJobDate', //指定元素
  istoday: true,
  fixed: false,
  festival: true,
});
laydate.render({
  elem: '#birth', //指定元素
  istoday: true,
  fixed: false,
  festival: true,
});
</script>
</body>
</html>
